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Within this concentration range, the plasma level will continue to rise (peak) and fall (trough) as dosing is continued at a regular interval. The height of the steady state (Css) depends upon the amount (D) administered per dosing interval (?) and the clearance. The speed at which the steady state is reached corresponds to the speed of elimination of the drug.
When biotransformation is rapid, oral administration of the drug is impossible (e. g. , glyceryl trinitate).

 

In unphysiologically high concentrations, cortisol or other glucocorticoids suppress all phases (exudation, proliferation, scar formation) of the inflammatory reaction, i. e. , the organism’s defensive measures against foreign or noxious matter. This effect is mediated by multiple components, all of which involve alterations in gene transcription.
The receptor protein itself may undergo phosphorylation, with a resultant loss of its ability to activate the associated G-protein. This is one of the mechanisms that contributes to a decrease in sensitivity of a cell during prolonged receptor stimulation by an agonist (desensitization).

 

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